쇄골 간부 골절 후 발생한 단축 및 변형이 견관절의 기능에 미치는 영향

Abstract

Introduction: To evaluate the effect of shortening degree and deformation on the function of shoulder joint after conservative treatment of clavicle shaft fracture. Material and Methods: From October 2015 to October 2017, 30 patients who underwent conservative treatment for clavicle shaft fracture and were able to follow at least 6 months were included. We measured the length and deformity of the affected side in comparison with the uninjured side using x-ray of Both Clavicle AP view, and assessed the shoulder function of both shoulder using a Constant-Murley scoring system at least 3 months after union. The degree of shortening and the functional evaluation of the shoulder joint were measured and the statistical relationship was examined. Results: The mean difference between the length of the affected side and the uninjured side was 7mm (0-12mm) and 6 points (0-18 points) on the Constant - Murley score. There was no statistically significant difference between the degree of shortening and clinical outcome. Conclusion: After conservative treatment for clavicle shaft fracture, shortening was more common than distraction, and the degree of clavicle shortening did not affect the clinical results of shoulder joint.